Patients' discharge experiences: Returning home after open-heart surgery
Abstract
Purpose This study explored patients' narratives of technology in heart surgery and recovery.Methods A narrative inquiry was conducted with a sample of 16 individuals. Interviews were completed 2 to 4 days after transfer from cardiovascular intensive care, and 4 to 6 weeks after discharge. Participants completed journals between these 2 time periods.Results Discharge and the return home were highlighted as key transitions. These transitions were driven by a technological script that included teachings and texts provided upon discharge. Complicating participants' narratives were their own personal dramas and self-characterizations of vulnerability, as they struggled to incorporate this script into the particularities of their daily lives.Conclusion Comprehensive conceptualizations of technology that involve the associated logics and pathways of recovery provide deep insights into patients' stories of recovery from heart surgery. It is salient that discharge programs consider the ways that technology enters into patients' narratives, and also consider dialogical approaches to communication, education, and supportive interventions that are offered at multiple intervals and continue in the home.
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Patients and families are often expected to manage recovery at home while still experiencing physical and psychological effects of surgery.
“Patients and families are often expected to take responsibility for managing recovery at home while still experiencing the physical and psychological effects of surgery.15, 16”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [15]
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Functional Recovery at Home and After Discharge
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Güzeltaş, A., Duras, E., Balik, R. S., Çilsal, E., Atik, S. U., Şahin, M., & Gökalp, S. (2025) · Catheterization and Cardiovascular Interventions · doi:10.1002/ccd.70395
“Surgical reinterventions increase morbidity for several reasons including the need for repeated sternotomy and prolonged recovery periods [5, 6].”
InfluentialChanges in skeletal muscle and physical function after cardiac surgery: a prospective study
Svidt, P., Daugaard, R., Lading, T., & Modrau, I. S. (2026) · The journal of nutrition health & aging · doi:10.1016/j.jnha.2026.100999
- Authors
- Lapum, J., Angus, J. E., Peter, E., & Watt-Watson, J.
- Affiliations
- Toronto Metropolitan University (CA)
- University of Toronto (CA)
- Corresponding author
- Lapum, Jennifer
- Venue
- Heart & Lung
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 40
- Issue
- 3
- Pages
- 226-235
- ISSN
- 0147-9563 (ISSN-L)
- OpenAlex
- W2075359857
- Cited by
- 49
- References
- 67
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 7 · 2015: 5 · 2014: 3 · 2013: 5 · 2012: 1
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Heart & Lung (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Strategic Training Program for Cardiovascular Nurse Scientists
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Keywords
- open heart surgery, hospital discharge, homecoming, postoperative recovery, patient narratives, medical technology, discharge education, vulnerability, care transitions, cardiovascular intensive care, patient education materials
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Coronary Artery Bypass, Attitude to Death, Convalescence, Coronary Care Units, Disability Evaluation, Female, Follow-Up Studies, Helplessness, Learned, Home Nursing, Humans, Length of Stay, Male, Ontario, Patient Discharge, Patient Education as Topic, Self Care, Social Adjustment, Medical Laboratory Science, Refusal to Treat, Patient Satisfaction, Heart Valve Prosthesis Implantation, Narration, Catastrophization
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